Dr Clifford Carl Douglas, MD, PHD in Riverside, CA

Dr Clifford Carl Douglas, MD, PHD is a medicare enrolled "Neurological Surgery" physician in Riverside, California. He went to Loma Linda University School Of Medicine and graduated in 1989 and has 35 years of diverse experience with area of expertise as Neurosurgery. He is a member of the group practice Faculty Physicians And Surgeons Of Llusm and his current practice location is 4510 Brockton Ave Ste 175, Riverside, California. You can reach out to his office (for appointments etc.) via phone at (951) 786-5550.

Dr Clifford Carl Douglas is licensed to practice in California (license number G70288) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1932166485.

Contact Information

	Dr Clifford Carl Douglas, MD, PHD
	4510 Brockton Ave Ste 175, Riverside, CA 92501-4020
	(951) 786-5550
	Not Available

Map and Direction

Physician's Profile

Full Name	Dr Clifford Carl Douglas
Gender	Male
Speciality	Neurosurgery
Experience	35 Years
Location	4510 Brockton Ave Ste 175, Riverside, California
Accepts Medicare Assignments	Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Dr Clifford Carl Douglas attended and graduated from Loma Linda University School Of Medicine in 1989

NPI Data:

NPI Number: 1932166485
Provider Enumeration Date: 04/27/2006
Last Update Date: 04/04/2024

Medicare PECOS Information:

PECOS PAC ID: 3678537990
Enrollment ID: I20041116001251

Medical Identifiers

Medical identifiers for Dr Clifford Carl Douglas such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1932166485	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207T00000X	Neurological Surgery	G70288 (California)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Riverside Community Hospital	Riverside, CA	Hospital
Loma Linda University Medical Center	Loma linda, CA	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Faculty Physicians And Surgeons Of Llusm	1153227814	1065

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Dr Clifford Carl Douglas allows following entities to bill medicare on his behalf.

Entity Name	Faculty Physicians And Surgeons Of Llusm
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1205009917 PECOS PAC ID: 1153227814 Enrollment ID: O20031211000981

Entity Name	Riverside Neurosurgical Associates
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1477689024 PECOS PAC ID: 6901894757 Enrollment ID: O20040503000379

Entity Name	Faculty Physicians And Surgeons Of Llusm
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1508255175 PECOS PAC ID: 1153227814 Enrollment ID: O20160216002196

Entity Name	Golden State Providers, A Medical Corporation
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1366859449 PECOS PAC ID: 7012212475 Enrollment ID: O20160223000539

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Clifford Carl Douglas is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Dr Clifford Carl Douglas, MD, PHD Po Box 743111, Atlanta, GA 30374-3111 Ph: () -	Dr Clifford Carl Douglas, MD, PHD 4510 Brockton Ave Ste 175, Riverside, CA 92501-4020 Ph: (951) 786-5550

Reviews and Comments

Neurological Surgery Doctors in Riverside, CA

Stephen S. Marvin, MD Neurological Surgery Medicare: Accepting Medicare Assignments Practice Location: 4000 14th St, 302, Riverside, CA 92501 Phone: 951-682-3583 Fax: 951-682-9596
Emad Samir Farag, MD Neurological Surgery Medicare: Accepting Medicare Assignments Practice Location: 7117 Brockton Ave Ste 200, Riverside, CA 92506 Phone: 951-697-5460
Dennis E Cramer, DO Neurological Surgery Medicare: Accepting Medicare Assignments Practice Location: 6276 River Crest Dr, Riverside, CA 92507 Phone: 951-413-0200 Fax: 951-653-5161
Sean William Kaloostian, Neurological Surgery Medicare: Accepting Medicare Assignments Practice Location: 6276 River Crest Dr, Ste A, Riverside, CA 92507 Phone: 951-413-0972
Nikhil Sahasrabudhe, Neurological Surgery Medicare: Accepting Medicare Assignments Practice Location: 4510 Brockton Ave Ste 175, Riverside, CA 92501 Phone: 951-786-5550
Dr. Lawrence Erwin Clark, MD Neurological Surgery Medicare: Medicare Enrolled Practice Location: 7117 Brockton Ave, Riverside, CA 92506 Phone: 951-782-3642 Fax: 951-784-3266

Dr Clifford Carl Douglas, MD, PHD - Medicare Neurosurgery in Riverside, CA